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General NPI Number Information
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NPI Number | 1003400201
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Entity Type | Individual
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Provider Name | PATRICIA SUNSHINE DUGGAN LCMCHA, LCASA,NCC
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Gender | Female
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Dates
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Enumeration Date | 02/27/2021
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 5135 MORGANTON RD STE 104
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1525
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Country | US
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Telephone | 910-216-9256
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Fax |
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Provider Business Mailing Address
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Address Line | 5718 WATERWOOD DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-1073
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Country | US
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Telephone | 941-914-2172
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 26781
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A16360
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License Number State | NC
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